Gwin, Diane Burick

Gwin, Diane Burick is an sole proprietor health care provider with primary practice located at 1000 S Mercer St 4Th Floor, New Castle PA 16101-4672. She recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as her primary health care specialty. Gwin, Diane Burick can be contacted via phone (724) 658-4688.

Contact Information

Primary practice address
1000 S Mercer St 4Th Floor New Castle PA 16101-4672
Phone: (724) 658-4688
Fax: (724) 658-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X RN266082L Pennsylvania

Profile Details

NPI number 1922124403
LBN Legal business name Gwin, Diane Burick
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922124403 NPPES
Pennsylvania MEDICAID 1016014740001

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